NPI 1205804150 · live from the CMS NPI Registry
Ehab Awad, PA-C
Physician Assistant, Medical in Buckeye, WV. National Provider Identifier 1205804150, active.
NPI record
| NPI | 1205804150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | Rr 2 Box 52w, Buckeye, WV 24924 |
| Practice phone | 304-799-7400 |
| Mailing address | Rr 1 Box 306b, Woodrow Branch Rd, Marlinton, WV 24954 |
| Enumerated | March 8, 2006 |
| Last updated | January 5, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 845 (WV) |
| Pharmacist | 183500000X | 5975 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.